Individual
STARLA LUCILLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11145 E SOMBRA AVE, MESA, AZ 85212-5200
(480) 365-8454
Mailing address
11145 E SOMBRA AVE, MESA, AZ 85212-5200
(480) 365-8454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN143747
AZ
Other
Enumeration date
03/22/2021
Last updated
09/09/2024
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